Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › CHARLESTON › JACKSON DAVENPORT INC.

JACKSON DAVENPORT INC.

NPI: 1073688602 · CHARLESTON, SC 29401 · 156FC0801X

$57K
Total Medicaid Paid
2,320
Total Claims
2,263
Beneficiaries
8
Codes Billed
2018-01
First Month
2021-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,058 $28K
2019 1,067 $25K
2021 195 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 366 364 $23K
92015 674 657 $14K
92340 850 832 $11K
92004 64 60 $5K
V2025 Eyeglasses delux frames 30 29 $1K
V2756 Eye glass case 281 277 $1K
V2784 Lens polycarb or equal 35 28 $728.00
V2100 Lens spher single plano 4.00 20 16 $92.00